Claude
Bernard is acknowledged to be one of the greatest of all biologists and is the
father of modern experimental physiology. He was the first scientist given a
state funeral in France. Among his many accomplishments were studies on the
role of the liver in carbohydrate metabolism, pancreatic secretions in
digestion, the influence of the involuntary nervous system on regulating blood
pressure, and the nature of the toxicity of carbon monoxide and curare. In his
classic work, Introduction to the Study of Experimental Medicine (1865), he
described the nature of scientific research and the scientist. His greatest
contribution, however, was his 1854 formulation of the milieu intérieur, now
referred to as homeostasis (from the Greek “standing still”), which is
considered to be one of the unifying principles of modern biology.
Bernard
noted that animals reside in two environments: an exterior environment and an
interior environment (milieu intérieur). Primitive life forms evolved in the
sea, which provided a relatively stable external environment. But with
evolution, these life forms moved to unstable terrestrial soundings with
respect to the ambient temperature, salt and water composition, and pH. Their
survival required adaption mechanisms for keeping their internal environment
stable in the face of such changes. Homeostasis is the ability to maintain a
constant internal environment in response to an external environmental change.
Those life forms and their progeny that successfully achieved homeostasis
survived; those that didn’t succumbed.
Bernard’s
concept of milieu intérieur largely languished until the early years of the
twentieth century when it was renamed homeostasis and popularized by W . B.
Cannon, of “fight-or-flight fame,” in his 1932 book, The Wisdom of the Body. In
it, Cannon described the effort of multiple organs working cooperatively to
maintain homeostasis. We now know that the nervous and hormonal systems play a
major role in maintaining the homeostatic balance or steady states. To maintain
homeostasis, including body temperature, blood sugar levels, and pH of the
blood and body fluids, the body employs negative feedback systems in which it
responds in an opposite direction to a change.
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